Lifesmile Dental Group

LBN: Lifesmile Dental Group
Lifesmile Dental Group is an health care organization with primary practice located at 13305 Nw Cornell Rd Suite A, Portland OR 97229-5817. The organization recently has only one registered license in Dental Providers / General Practice, which is considered as the primary health care specialty. Lifesmile Dental Group can be contacted via phone (503) 644-5433, or through Hicks, Thomas via phone (503) 644-5433.

Contact Information

Primary practice address
13305 Nw Cornell Rd Suite A Portland OR 97229-5817
Phone: (503) 644-5433
Fax: (503) 633-5436
Website:
Map and Directions
Authorized official contact:
Name: Hicks, Thomas Doctor of Dental Medicine (DMD)
Phone: (503) 644-5433

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X D7362 Oregon

Profile Details

NPI number 1144416959
LBN Legal business name Lifesmile Dental Group
DBA Doing business as
Authorized official Hicks, Thomas Doctor of Dental Medicine (DMD)
Entity Organization
Organization subpart 1 No
Enumeration date Sep 15th, 2007
Last updated Sep 15th, 2007 - about 17 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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